Provider Demographics
NPI:1821514985
Name:BERNADIN, CRISTINA LOREDANA
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:LOREDANA
Last Name:BERNADIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1311
Mailing Address - Country:US
Mailing Address - Phone:516-998-8058
Mailing Address - Fax:
Practice Address - Street 1:117 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1311
Practice Address - Country:US
Practice Address - Phone:516-998-8058
Practice Address - Fax:516-998-8058
Is Sole Proprietor?:No
Enumeration Date:2017-08-20
Last Update Date:2017-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341895-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily